Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $481.98 / $526.07	Professional		$401.41	$481.98	$526.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $464.14 / $521.92 / $584.55	Professional		$464.14	$521.92	$584.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $926.26	Facility		$507.00	$518.54	$926.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.44 / $618.19 / $1,086.50	Professional		$417.44	$618.19	$1,086.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.33 / $653.16 / $858.05	Professional		$506.33	$653.16	$858.05
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $463.19 / $900.39	Professional		$341.94	$463.19	$900.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $582.28 / $715.20	Professional		$374.46	$582.28	$715.20